Individual provider · Type 1 NPI

Kelley Wiederhold, LPC-ASSOCIATE

Mental Health Counselor · Bryan, TX

NPI number 1417763384 Active

Practice location

1401 Sandia Plz
Bryan, TX 77802-4356

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X94350 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1417763384

Kelley Wiederhold, LPC-ASSOCIATE's National Provider Identifier is 1417763384, issued on Dec 5, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bryan, TX. The record was last updated on Dec 5, 2024.